ABSTRACT

Chlordecone through Food ..........................................................................250 18.3 The Construction of JAFA Programs ..........................................................250 18.4 Preparation of Surveys for the Identication of the Populations

Concerned .................................................................................................... 251 18.4.1 Preparing Maps of the Plots to Be Surveyed

by the Investigators ......................................................................... 251 18.4.2 Communication Prior to Field Surveys ........................................... 251 18.5 Identication of Populations at Risk of High Exposure .............................. 252 18.6 Return of Test Results and Health Recommendations ................................ 255 18.7 Communication and Support Actions for the Program ............................... 256 18.7.1 Collective Animations from Homes Identied as Being at the

Risk of Exposure .............................................................................256 18.7.2 Mass Communication ......................................................................256 18.7.3 Economic Support ...........................................................................256 18.8 The Search for Additional Risk Management Tools ................................... 257 18.9 Accounting for the Risks Involved in Backyard Farms .............................. 257 18.10 Program Evaluation ..................................................................................... 258 18.11 The Limits of JAFA Program in Reducing Exposure ................................. 259 18.12 Conclusion and Perspectives .......................................................................260 References .............................................................................................................. 261

A number of measures have been taken since 1999 in Martinique and since 2000 in Guadeloupe to manage risks associated with chlordecone pollution. To limit consumers’ exposure, the French Food Safety Agency (AFSSA) identied risky foods and laid down maximum residue limits (MRLs) for chlordecone. In its rst assessment, the AFSSA underlined that the proposed regulation would not protect anyone who purchased food outside the commercial distribution channels: products for home consumption, gifts, and supplies from unregistered producers, for which other actions would be recommended. Previously, population groups at high risk of exposure had been identied by the Interregional Epidemiology Cell (Cire-AG), a local branch of the French Institute of Health Watch (InVS), to better target possible actions. This chapter describes this whole process.